ADETIMBO ADEDIRAN (NPI# 1679922298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679922298 |
| Entity Type | Individual |
| Full Name | ADETIMBO ADEDIRAN |
| Credential | CRNP |
| Practice Address |
11236 Robinwood Dr Suite 101 Hagerstown MD 21742-6708 |
| Mailing Address |
3927 Blackburn Ln Burtonsville MD 20866-1294 |
| Practice Telephone | 2403134242 |
| Mailing Telephone | 2407229763 |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2016-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R194854 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11236 ROBINWOOD DR SUITE 101 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497722615 | Mark F Sullivan Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11236 Robinwood Dr, # 7, Hagerstown, MD 21742-6708 | 2006-03-07 |
| 1306291224 | U.n.i. Medical Care, Inc | Clinic/Center | 11236 Robinwood Dr, Suite 101, Hagerstown, MD 21742-6708 | 2016-04-28 |
| 1275900482 | Christine P. Lewis, PC | Clinic/Center | 11236 Robinwood Dr, Suite 102, Hagerstown, MD 21742-6708 | 2015-08-24 |
| 1649568585 | Trung C Vu | Pharmacist | 11236 Robinwood Dr, Suite 104, Hagerstown, MD 21742-6704 | 2011-07-13 |
| 1831489335 | Hagerstown Surgery Center,llc | Clinic/Center | 11236 Robinwood Dr, Hagerstown, MD 21742-6704 | 2011-04-18 |
| 1518914936 | Naresh C Gupta | Specialist | 11236 Robinwood Dr, Ste 106, Hagerstown, MD 21742-6800 | 2006-05-30 |
| 1033162565 | Hagerstown Imaging LLC | Clinic/Center | 11236 Robinwood Dr, Suite 106, Hagerstown, MD 21742-6708 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543893 | Isata Jalloh | Nurse Practitioner | 235 Mill St, Hagerstown Md, 21740, Same As Above, Hagerstown, MD 21740-6668 | 2019-11-26 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1225694888 | Vanessa Lynn Geyer | Nurse Practitioner | 1223 Glenwood Ave, Hagerstown, MD 21742-3028 | 2019-05-18 |
| 1891260741 | Erin Oman | Nurse Practitioner | 11110 Medical Campus Rd Ste 246, Hagerstown, MD 21742-6756 | 2018-10-08 |
| 1316430234 | Amanda Brown | Nurse Practitioner | 222 E Oak Ridge Dr Ste 1200, Hagerstown, MD 21740-7858 | 2018-06-14 |
| 1679091524 | Shawna Angel Chisholm | Nurse Practitioner | 18225 Hurricane Ct, Hagerstown, MD 21740-6594 | 2017-08-30 |
| 1356735971 | Hanan Kallash | Nurse Practitioner | 10 East Wilson Blvd, Minute Clinic, Hagerstown, MD 21740 | 2015-03-20 |
| 1811399009 | Tisha Varghese | Nurse Practitioner | 24 North Walnut Street, Hagerstown, MD 21740 | 2014-09-19 |
| 1265833099 | Amanda Diane Kallas | Nurse Practitioner | 1733 Howell Road, Hagerstown, MD 21740-6700 | 2014-09-11 |
| 1538226972 | Janeen A Lyche | Nurse Practitioner | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742-3810 | 2007-01-03 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on ADETIMBO ADEDIRAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.